| NPI | 1144721218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0091642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO035000) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2024-09-24 |