| NPI | 1598382632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 35815) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP8742) |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2023-09-06 |