| NPI | 1417034422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048909A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 47740) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-03-26 |