| NPI | 1336634062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101027196) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101023815) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-02-20 |