| NPI | 1295227460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301510432) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101273387) |
| 207Q00000X Family Medicine (Licence: PA MT215117) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-05-21 |