| NPI | 1609493311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 9211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 28229593A) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-12-28 |