| NPI | 1962858415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-23573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 217603) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2023-09-28 |