| NPI | 1871061861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI APRN52820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95009972) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2026-02-27 |