| NPI | 1689832024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301098073) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301098073) |
| 208D00000X General Practice (Licence: IN 01075763A) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2020-10-21 |