| NPI | 1093444390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-160859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-2169) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2025-12-08 |