| NPI | 1881770352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-10361) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 33619) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-12-16 |