| NPI | 1982223541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 76448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 8528) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-08-30 |