| NPI | 1417111899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003892A) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-02-08 |