| NPI | 1336675123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-12083) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-12083) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-10-28 |