| NPI | 1497837363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME147910) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01058025A) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-02-14 |