| NPI | 1801281191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 307095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 57362) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-07-31 |