| NPI | 1477995686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 3932) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO034945) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2025-07-22 |