| NPI | 1588407233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 17567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P128370) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-05-06 |