| NPI | 1942706197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 69126) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01091996A) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-03-07 |