| NPI | 1528649456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 00000000000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 00000000) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-06-22 |