| NPI | 1023542180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 61218) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D92394) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-04-30 |