| NPI | 1093196008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-48114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 30519) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2025-07-22 |