| NPI | 1861888307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 81354) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-23222) |
| 207Q00000X Family Medicine (Licence: NY 2950671) | |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2024-03-27 |