| NPI | 1932225695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 14913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 238360) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2026-05-01 |