| NPI | 1003232992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NC 2017-00972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00972) |
| 207Q00000X Family Medicine (Licence: NC 2017-00972) | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2026-07-30 |