| NPI | 1043912488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5151016053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5315239994) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-06-11 |