| NPI | 1497246136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-16291) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD24565) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-06-09 |