| NPI | 1881261576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 33751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 342899) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-09-25 |