| NPI | 1437644564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 331071) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-3633) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2024-05-03 |