| NPI | 1487181814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 4057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4057) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-04-29 |