| NPI | 1740033844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 86097-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 100734) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2026-02-16 |