| NPI | 1730235771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 054039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 054039) |
| 208000000X Pediatrics (Licence: GA 054039) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-03-06 |