| NPI | 1831359082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E8561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 26439) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-01-18 |