| NPI | 1538135082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 020002425A) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-03-06 |