| NPI | 1720460819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2590) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-12-02 |