| NPI | 1023528726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.39138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L.4575R) |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2020-07-17 |