| NPI | 1073572624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q1674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01054990A) |
| 207Q00000X Family Medicine (Licence: VA 0101243704) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2015-08-12 |