| NPI | 1659782829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1403) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2023-12-15 |