| NPI | 1023097128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 38531) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-18483) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2025-09-11 |