| NPI | 1750410577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E5725) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-5725) |
| 207Q00000X Family Medicine (Licence: LA MD.202062) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-10-10 |