| NPI | 1871112177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.4118) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T-3977) |
| 207Q00000X Family Medicine (Licence: NC 2023-00576) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-06-24 |