| NPI | 1083820286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IN 01077591A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI AH4337526-443) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-10-08 |