| NPI | 1144797101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E15246) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E15246) |
| 207Q00000X Family Medicine (Licence: MO 2018026685) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2022-07-26 |