| NPI | 1881892446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16915) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 11013784A) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2021-07-28 |