| NPI | 1720242068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 077153) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01059043A) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-07-21 |