| NPI | 1982259065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 2473) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AL 2473) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-06-26 |