| NPI | 1871944041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005464A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R3790) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-05-18 |