| NPI | 1043703705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.145760) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01085834A) |
| 207Q00000X Family Medicine (Licence: KS 94-09567) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2022-09-20 |