| NPI | 1891228763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL UO5388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5388) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-10-02 |