| NPI | 1811284276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 49869) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R72817) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-08-13 |