| NPI | 1306538350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C7-0018374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0024998) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2026-06-24 |