| NPI | 1215553607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 33962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01090521A) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2024-08-26 |