| NPI | 1932563418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-00007) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 11164807-1205) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-07-05 |