| NPI | 1568757730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-7710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018033166) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-09-13 |