| NPI | 1811418684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 16727) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL14664) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-12-28 |