| NPI | 1710084488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 56924) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01051127A) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2019-03-19 |