| NPI | 1295174175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-18886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-9928) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-01-13 |