| NPI | 1669798807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 65989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E8077) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2022-11-28 |