| NPI | 1235240169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301068281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01086192A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-06-07 |