| NPI | 1528097607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01065616A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD26061) |
| 207Q00000X Family Medicine (Licence: KY 42867) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-05-01 |