| NPI | 1487041216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 55088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R74899) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2022-05-26 |