| NPI | 1437508041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 85247-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2019-0307) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-08-07 |