| NPI | 1124081526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004894A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS010277L) |
| 207Q00000X Family Medicine (Licence: KY 03413) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2021-03-24 |