| NPI | 1134423866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H77448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA os016388) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2025-03-28 |