| NPI | 1386331684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101028803) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151016057APP23) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-06-24 |