| NPI | 1205385812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS18626) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-3265) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2024-06-17 |