| NPI | 1689231458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL82147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0024046) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-08-02 |