| NPI | 1992166862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0097387) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO210012338) |
| 207Q00000X Family Medicine (Licence: VA 0102208366) | |
| 207Q00000X Family Medicine (Licence: PA OS019914) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-04-01 |