| NPI | 1033134069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3463) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH EL12010) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2025-01-29 |