| NPI | 1356848923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 4414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 05045) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-03-02 |