| NPI | 1356834758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 20984) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-3295) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-08-22 |