| NPI | 1326724600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 10002010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID F06230879) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-08-22 |