| NPI | 1083666770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0431615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01060716A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-02-16 |