| NPI | 1669763868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 31059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E20073) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2026-01-15 |