| NPI | 1093450454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-25424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MDR-8277) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2025-07-11 |