| NPI | 1801284633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 24326) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 338511) |
| 207Q00000X Family Medicine (Licence: AL DO2105) | |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2024-11-25 |