| NPI | 1326532607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102206470) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 29386) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-12-06 |