| NPI | 1487094108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-13755) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017391A) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2017-11-09 |