| NPI | 1669676771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 53637-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013394A) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-01-25 |