| NPI | 1841687324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 66971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M14836) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-07-23 |