| NPI | 1174996029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-50571) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0104173) |
| 207Q00000X Family Medicine (Licence: HI MD-20651) | |
| Enumeration Date | 2015-11-01 |
| Last Update Date | 2025-05-13 |