| NPI | 1851651871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005664A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1140) |
| 207Q00000X Family Medicine (Licence: IL 125.061019) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-07-15 |