| NPI | 1710121371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01078451A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.099847) |
| 207Q00000X Family Medicine (Licence: KY 47197) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2020-12-01 |