| NPI | 1285261982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 260689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102208660) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-08-27 |