| NPI | 1497075410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 02005701A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 250143) |
| 207Q00000X Family Medicine (Licence: IN 02005701A) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: NY 250143) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-04-05 |