| NPI | 1437599677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2017019173) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 29302) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-03-30 |