| NPI | 1457070914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OA006341) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MA064269) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-06-06 |