| NPI | 1629027313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-4147) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 37651) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2011-02-14 |