| NPI | 1780178269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1780178269) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.38980) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-07-21 |