| NPI | 1366431645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-40064) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101259752) |
| 207Q00000X Family Medicine (Licence: IN 1056447A) | |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2022-07-21 |