| NPI | 1023692845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS025399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116037320) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-10-23 |