| NPI | 1306337936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME159975) |
| Additional Taxonomies | 207QB0505X (Licence: FL ME159975) |
| 202K00000X Phlebology (Licence: FL ME159975) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-12-12 |