| NPI | 1831157858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR R4023) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AR R4023) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AR R4023) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2024-04-18 |