| NPI | 1437509759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 64070) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018044700) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-12-07 |