| NPI | 1144915901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS23191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS23191) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2026-06-25 |