| NPI | 1740227875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD163031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01063152A) |
| 207Q00000X Family Medicine (Licence: ID M-12958) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-09-30 |