| NPI | 1861481210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 183279) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02002770A) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2022-09-30 |