| NPI | 1033849468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102208252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116036285) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-08-26 |