| NPI | 1598261596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16370) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102206207) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2026-03-24 |