| NPI | 1225859598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2024040225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024040225) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2025-07-03 |