| NPI | 1487362299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MA064212) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OA006323) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |