| NPI | 1144726969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 83576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2019-02419) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-09-09 |