| NPI | 1437506896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ R75511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-20580) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-05-20 |