| NPI | 1407531452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2024045178) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2024045178) |
| 207Q00000X Family Medicine (Licence: MO 2023023541) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-12-20 |