| NPI | 1457359549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 144976) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02002663A) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2024-09-17 |