| NPI | 1306405261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 34072) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 8507) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-01-04 |