| NPI | 1982268645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO210001355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL82126) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-09-07 |