| NPI | 1306415807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.3683) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11021923A) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-07-03 |