| NPI | 1205396967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 338149) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS022262) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-01-30 |