| NPI | 1184650905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 37119) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01061438A) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-09-05 |