| NPI | 1205021268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01050551A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301080824) |
| 207Q00000X Family Medicine (Licence: IL 036107482) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-02-29 |