| NPI | 1689191108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-15827) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2017020541) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2023-03-01 |