| NPI | 1366071938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301509058) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301509058) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-05-06 |