| NPI | 1619597549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC 210012138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R77938) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-07-28 |