| NPI | 1578098232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2019-02398) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 228372) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-10-26 |