| NPI | 1043709363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY TP875) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02005788A) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-12-18 |