| NPI | 1346700663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0095404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD483620) |
| 207Q00000X Family Medicine (Licence: NY 333155) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-05-11 |