| NPI | 1225527013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR PG210892) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG187740) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-04-03 |