| NPI | 1134808934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN252184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A173721) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |