| NPI | 1427672633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 96106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL84151) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-09-06 |