| NPI | 1871272351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 84279) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 100029) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-07-11 |