| NPI | 1073133179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101281549) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-15648) |
| 207P00000X Emergency Medicine (Licence: AR E15648) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-09-16 |