| NPI | 1376036558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 92502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-14177) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-03-10 |