| NPI | 1851461446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101221501) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD210456) |
| 207Q00000X Family Medicine (Licence: NJ 25MA11492800) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2026-07-01 |