| NPI | 1306067392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 6544) |
| 207Q00000X Family Medicine (Licence: IL 036-132572) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-12-19 |