| NPI | 1598020463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 006551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2158) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2019-10-07 |