| NPI | 1497290241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 95556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4127) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2026-07-08 |