| NPI | 1619984127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 46938-021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 13430) |
| 207Q00000X Family Medicine (Licence: IN 036126087) | |
| 207Q00000X Family Medicine (Licence: IN 02004337A) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-05-18 |