| NPI | 1366000895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101026834) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151013787) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-08-03 |