| NPI | 1083271019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0093964) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 10949) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-08-19 |