| NPI | 1518319490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 39823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL39823) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-03-26 |