| NPI | 1851321632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01088398A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 41068) |
| 207Q00000X Family Medicine (Licence: WA MD00047114) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-09-02 |