| NPI | 1942681143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 007774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R2518) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-01-22 |