| NPI | 1447804661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR 120422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR F06190699) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |