| NPI | 1588855597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 045837) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01064208A) |
| 207Q00000X Family Medicine (Licence: KY 41388) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-03-24 |