| NPI | 1093179699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 34013984) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101022188) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2023-11-03 |