| NPI | 1114452968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS18548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2020-01850) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2024-04-09 |