| NPI | 1386623049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR R4120) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR R4120) |
| 207Q00000X Family Medicine (Licence: TX H6458) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-05-26 |