| NPI | 1194309914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301510188) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301510188) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301510188) | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-02-13 |