| NPI | 1689271918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA F07200304) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA F07200304) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2022-10-31 |