| NPI | 1992392732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 9381501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID 9381501) |
| 207Q00000X Family Medicine (Licence: NC 2025-00504) | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2026-07-23 |