| NPI | 1841636354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2020012711) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-9065) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-03-31 |