| NPI | 1780613232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067788A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 40538) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-01-05 |