| NPI | 1437243581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2009033144) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003066A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-08-01 |