| NPI | 1629431267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10013563) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE c1-0013563) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-02-24 |