| NPI | 1407317787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 60896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01088372A) |
| 207Q00000X Family Medicine (Licence: IL 125075268) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-07-24 |