| NPI | 1972124337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-16855) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2020016154) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-08-20 |