| NPI | 1295855583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME104803) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01059196A) |
| 207Q00000X Family Medicine (Licence: KY 38030) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-09-27 |