| NPI | 1841256674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME114166) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01053210A) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-05-27 |