| NPI | 1235206699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 01012700162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD11907) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-10-19 |