| NPI | 1245855089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-06307) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11924) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-02-20 |