| NPI | 1649581778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01086578A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 45471) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2022-02-01 |