| NPI | 1427462142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1883) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102204994) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-09-13 |