| NPI | 1841221009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 058642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01056788A) |
| 207Q00000X Family Medicine (Licence: KY 37178) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-04-27 |