| NPI | 1992225312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101269413) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL41052) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-12-28 |