| NPI | 1346860848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-00677) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.43633) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-05-02 |