| NPI | 1447631858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2018004599) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2015017101) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-09-14 |