| NPI | 1477912731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2022044990) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1679) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2024-04-09 |