| NPI | 1093341067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 2901) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2022007292) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-07-23 |