| NPI | 1699153338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2022-02817) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-10041) |
| 207Q00000X Family Medicine (Licence: AR E-10041) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-11-14 |