| NPI | 1932696051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006903A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 309538-01) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2022-08-23 |