| NPI | 1992382600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-01820) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC STON-V1W6UL) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2025-07-16 |