| NPI | 1467944371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102206774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 51998) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-07-13 |