| NPI | 1275925042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 53461) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD36308) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2025-02-19 |