| NPI | 1851370266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 27544) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01054579A) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-10-08 |