| NPI | 1609434281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 91845) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11431) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2025-04-03 |