| NPI | 1144253212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-02236) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-7957) |
| 207Q00000X Family Medicine (Licence: IA 37950) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2025-06-10 |