| NPI | 1578098810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 40959) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.40959) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2024-09-06 |