| NPI | 1962491324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-727) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI DOS727) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-08-09 |