| NPI | 1497192298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101260486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260486) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2026-07-10 |