| NPI | 1215059191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101253038) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-5832) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-07-05 |