| NPI | 1497245351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102206503) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL51963) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-05-06 |