| NPI | 1194349340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-01192) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL83122) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-08-17 |