| NPI | 1780881904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 350164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB08469000) |
| 207Q00000X Family Medicine (Licence: FL os13772) | |
| 207Q00000X Family Medicine (Licence: VA 0102202721) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2026-02-11 |