| NPI | 1619930344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME103201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 89630) |
| 207Q00000X Family Medicine (Licence: NC 200601665) | |
| 207Q00000X Family Medicine (Licence: AL 36813) | |
| 207R00000X Internal Medicine (Licence: MO 2021042681) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-07-15 |