| NPI | 1770137325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 8506) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NE 8506) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |