| NPI | 1023800620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 002051-P-A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TPPA836) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |