| NPI | 1245558527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 30995) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01071051A) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-06-09 |