| NPI | 1043416118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-02613) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01068872A) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-10-11 |