| NPI | 1033459961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 86547-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 073633) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2025-12-04 |