| NPI | 1932146388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-11438) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR794) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-12-09 |