| NPI | 1679775738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD215420) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME97979) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2026-03-11 |