| NPI | 1144841115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R77947) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-09-28 |