| NPI | 1275929929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD304481) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 304481) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-08-16 |