| NPI | 1225441785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2022-00055) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02004700A) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-09-07 |