| NPI | 1871090456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-17929) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 313288) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-08-28 |