| NPI | 1396086781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101257847) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 210002873) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2025-01-23 |