| NPI | 1417306432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0101267630) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC MMD.39759 LL) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-07-28 |