| NPI | 1841654829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO034893) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0099075) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2026-05-08 |