| NPI | 1497246508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0095723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101272495) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-10-29 |