| NPI | 1730610858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A174995) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C7-0006527) |
| 207Q00000X Family Medicine (Licence: DE C1-0013764) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-10-28 |