| NPI | 1881210391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-23686) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT3656) |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-08-07 |