| NPI | 1871904789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1391) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-12-15 |