| NPI | 1396270138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102205510) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102205510) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-04-29 |