| NPI | 1134619083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MDR-H00958564) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-08-25 |