| NPI | 1194086611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 006577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2152) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2021-10-08 |