| NPI | 1194829135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 72632) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28052) |
| 174400000X Specialist (Licence: SC LL28052) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2026-04-17 |