| NPI | 1245726736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 98920) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 20911) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2024-09-03 |