| NPI | 1205523743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 111538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD51783) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2026-08-26 |