| NPI | 1578085940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 68486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD24593) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-07-19 |