| NPI | 1093194607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-45353) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018072A) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-07-03 |