| NPI | 1316515984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS t-4419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS JOYI-O1I7NE) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-07-01 |