| NPI | 1720508401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A157537) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01087426A) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-02-22 |