| NPI | 1134481377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 83752) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 236606) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2026-02-24 |