| NPI | 1093165433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 73525) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-10629) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2023-09-14 |