| NPI | 1831503564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-44372) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-09925) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-05-17 |