| NPI | 1083174502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 110491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-14524) |
| 207P00000X Emergency Medicine (Licence: AR E-14524) | |
| 207Q00000X Family Medicine (Licence: FL ME155077) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-05-21 |