| NPI | 1467195842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 252710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AS 5147A) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-09-08 |