| NPI | 1598259947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 20889) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-3323) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-07-13 |