| NPI | 1205323953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS18486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 6668) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2022-07-07 |