| NPI | 1063639649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 020029596A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 239775) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-08-26 |