| NPI | 1184063224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2015031851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2013018108) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2025-09-12 |