| NPI | 1588634687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E4035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME89097) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2024-06-01 |