| NPI | 1588639215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13023) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH LT-2235) |
| 207Q00000X Family Medicine (Licence: NH T-0134) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-10-17 |