| NPI | 1538261573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD154762) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01053139) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OR MD154762) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-11-01 |