| NPI | 1356420707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2005021707) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01087508A) |
| 207Q00000X Family Medicine (Licence: CO DR.0054578) | |
| 207Q00000X Family Medicine (Licence: OR MD150694) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-10-15 |