| NPI | 1609057769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME178688) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01068506A) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2026-03-09 |