| NPI | 1730358805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-00878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003477A) |
| 207Q00000X Family Medicine (Licence: AZ 007298) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2022-10-24 |