| NPI | 1467185637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4351051881) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-4669) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-06-18 |