| NPI | 1598768145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.917) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 053465) |
| 207Q00000X Family Medicine (Licence: FL OS22812) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-10-30 |