| NPI | 1912656042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC DO210012640) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0105430) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2026-02-24 |