| NPI | 1730839465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS21043) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO8632) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2024-08-08 |