| NPI | 1538720487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH RT-3464) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 22455) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-07-11 |