| NPI | 1518182625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 000445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.975) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-09-08 |