| NPI | 1306896923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003805A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS013498) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-11-24 |