| NPI | 1447935432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 37412) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 9676) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2026-06-04 |