| NPI | 1689668048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-23863) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 45087) |
| 207Q00000X Family Medicine (Licence: CA A72337) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-01-26 |