| NPI | 1255337366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02002271A) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2025-03-25 |