| NPI | 1376629477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 33562) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01057937) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-06-03 |