| NPI | 1831821016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH R4030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 148091) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-06-10 |