| NPI | 1780971283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01079194A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD434966) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-08-16 |