| NPI | 1417925314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C-7654) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR C7654) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2013-12-12 |