| NPI | 1447668439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 009057) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14587) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2022-03-23 |