| NPI | 1487918181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 006726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11016763A) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-05-08 |