| NPI | 1477665917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E1919) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 16100) |
| 207Q00000X Family Medicine (Licence: GA 043140) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-06-01 |