| NPI | 1497275523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 2071) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2020021935) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-02-03 |