| NPI | 1144845124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101279128) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0097386) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-09-25 |