| NPI | 1801038427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01037385) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 25137) |
| 207R00000X Internal Medicine (Licence: IN 01037385) | |
| 207R00000X Internal Medicine (Licence: KY 25137) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |