| NPI | 1396960506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301088633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01070013A) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-10-23 |