| NPI | 1518525021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-51126) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11596) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-04-14 |