| NPI | 1285208074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 5101028211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151015080) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-06-24 |