| NPI | 1841674546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS14493) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO4461) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2021-08-17 |