| NPI | 1811904295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-38071) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01055415A) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-11-08 |