| NPI | 1508430943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 100047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL83484) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-10-03 |