| NPI | 1952740862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 51782) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R74127) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-09-22 |