| NPI | 1295120483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IA MD-54559) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-12767) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2025-04-29 |