| NPI | 1457589533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 93966) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 201101212) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-06-23 |