| NPI | 1548452634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-15774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26062) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-04-25 |