| NPI | 1427492776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS21251) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C7-0011689) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2026-03-11 |