| NPI | 1891080362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 28084) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-41332) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-01-19 |