| NPI | 1912527987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0098790) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 210012225) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2026-07-10 |