| NPI | 1386734838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 237184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02002640A) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-12-12 |