| NPI | 1366332223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL96944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P136062) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2026-07-06 |