| NPI | 1891299020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 223392) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO209309) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-02-03 |