| NPI | 1386635654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101020162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02001093A) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-12-14 |