| NPI | 1053722298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD22274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1398) |
| 207Q00000X Family Medicine (Licence: ID M-13190) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2018-09-28 |