| NPI | 1972180370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 5724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.3402) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 5724) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-03-27 |