| NPI | 1225290737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 16081) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 84179) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-12-09 |