| NPI | 1427083831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME151768) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01061145A) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-11-17 |