| NPI | 1801278338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 29614) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7381) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2018-10-16 |