| NPI | 1922637693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: AL DO.3736) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.3736) |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2025-04-24 |