| NPI | 1427584424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD29304) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101265259) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-07-22 |