| NPI | 1508094186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0060395) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CO DR.0060395) |
| 208D00000X General Practice (Licence: IN 01078032A) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2021-09-25 |