| NPI | 1326301490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2016-20605) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R73218) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2025-05-01 |