| NPI | 1487094207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID MRM-1339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 19893) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2026-05-08 |