| NPI | 1780178723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 05918) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11020171A) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-09-20 |