| NPI | 1447609771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16238) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO4905) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-08-15 |