| NPI | 1144979782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1027499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 14209913-1205) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-07-02 |