| NPI | 1477207751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 37544) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 34285) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-06-11 |