| NPI | 1467039438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0100091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0026827) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-09-13 |