| NPI | 1497748487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-2376) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2000154987) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2026-01-07 |