| NPI | 1851705941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 18440) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-2694) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-10-02 |