| NPI | 1619375615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A159949) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA11556200) |
| 207Q00000X Family Medicine (Licence: SC 91375) | |
| 207Q00000X Family Medicine (Licence: NY 313548) | |
| 207Q00000X Family Medicine (Licence: FL ME155476) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2026-03-19 |