| NPI | 1144777277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 2384) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP7858) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-12-26 |