| NPI | 1831610732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 278297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14886) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-10-20 |