| NPI | 1316202450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-21245) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10349600) |
| 207Q00000X Family Medicine (Licence: NY 280611) | |
| 207Q00000X Family Medicine (Licence: WA MD61121510) | |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2023-08-23 |