| NPI | 1679154181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-01064) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 303401) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-07-01 |