| NPI | 1265634125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01075228A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 44039) |
| 207Q00000X Family Medicine (Licence: OH 35.090567) | |
| 207Q00000X Family Medicine (Licence: OH 57010939) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-10-07 |