| NPI | 1952797730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-51114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 077680) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-05-29 |