| NPI | 1710541750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD212677) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG194124) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-11-14 |