| NPI | 1891287744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 4335) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11291) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-06-15 |