| NPI | 1649449166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101260207) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066468A) |
| 207Q00000X Family Medicine (Licence: MI L1162300) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2022-12-15 |