| NPI | 1023643749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-22123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV LL3545) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-08-01 |