| NPI | 1437412871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-00311) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R73428) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-08-28 |