| NPI | 1477248565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS23846) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 89890) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-08-11 |