| NPI | 1457989949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R172753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD R172753) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-11-16 |