| NPI | 1073576393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 34191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E3307) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2025-01-10 |