| NPI | 1184079162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO193147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG177146) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2021-03-15 |