| NPI | 1780970491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-12366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 248510) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2023-12-15 |