| NPI | 1750919023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 010924) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 95609) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-06-20 |