| NPI | 1427369222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 26327) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP6377) |
| 207Q00000X Family Medicine (Licence: IA 40569) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-09-27 |