| NPI | 1285194977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO034869) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0053890) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-08-22 |