| NPI | 1356398432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2012-01424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 27439) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2025-03-05 |