| NPI | 1356723191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A175075) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01077598A) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2024-11-20 |