| NPI | 1912136227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1025416) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E 7608) |
| 207Q00000X Family Medicine (Licence: TN 62820) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2026-01-07 |