| NPI | 1891881223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR D025292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD25292) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2026-05-04 |