| NPI | 1609225499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-19686) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2021030592) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2026-03-25 |