| NPI | 1750523635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 10246) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-7855) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2022-07-21 |