| NPI | 1477050771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-01544) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.42829) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2023-10-16 |