| NPI | 1043847536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO3239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2026031153) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-07-07 |