| NPI | 1497249189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 83455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019030225) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-10-16 |