| NPI | 1013570365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 4301506664) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MI 430150664) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-07-13 |