| NPI | 1194464925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-06595) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12578) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-04-29 |