| NPI | 1629741160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 25631) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-33833) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2025-01-02 |