| NPI | 1801872197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E3406) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E3406) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2016-09-14 |