| NPI | 1740326610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E5031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 40746) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-01-13 |