| NPI | 1093235418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 45965) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL40896) |
| 207Q00000X Family Medicine (Licence: SC 40896) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-11-16 |