| NPI | 1457013237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021036907) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 0076112) |
| Enumeration Date | 2021-10-09 |
| Last Update Date | 2026-08-14 |