| NPI | 1801096979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-37434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 37434) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-05-03 |