| NPI | 1659251809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA RN690598) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA F09250151) |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-06 |