| NPI | 1093335622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 20100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL16630) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-12-21 |