| NPI | 1629007620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01059486A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 40465) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2014-11-07 |