| NPI | 1376939207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102204782) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 3538) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-05-12 |