| NPI | 1285691733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO23121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI DO01339) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-08-18 |