| NPI | 1366186751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MT225232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01097490A) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-10-08 |