| NPI | 1184935397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0076257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD228128) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2026-01-16 |