| NPI | 1932751641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 56914) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 56914) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-06-08 |