| NPI | 1851943492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 49083) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL82453) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2024-10-09 |