| NPI | 1780176859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME160708) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 33921) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-09-06 |