| NPI | 1740255736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 34302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01053977) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-02-15 |