| NPI | 1427670157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1580) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRO-1938) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2023-08-02 |