| NPI | 1063615714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.41362) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066398A) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-02-18 |