| NPI | 1821194994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301084831) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 011056608A) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |