| NPI | 1033778907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101270859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116033149) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2025-02-04 |