| NPI | 1811921794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101269292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01078563A) |
| 207Q00000X Family Medicine (Licence: PA 462485) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-10-13 |