| NPI | 1730114083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102-201235) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02002852A) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-03-07 |