| NPI | 1245214162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2019028082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101243836) |
| 207Q00000X Family Medicine (Licence: IN 01071557A) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-06-05 |