| NPI | 1407046220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E11897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 4647) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2022-01-28 |