| NPI | 1235174731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 48328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01057388A) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2023-12-07 |