| NPI | 1932429099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101250518) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD217245) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2025-11-25 |