| NPI | 1598703944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 222694) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 049642) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2025-12-23 |