| NPI | 1083764229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 78019) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01059199A) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2026-08-11 |