| NPI | 1720019268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01086313A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 49830020) |
| 207Q00000X Family Medicine (Licence: MO 2010032296) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-11-18 |