| NPI | 1346879095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD19377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A184272) |
| 207Q00000X Family Medicine (Licence: KS 04-51422) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2025-09-17 |