| NPI | 1891938718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 45507) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01069094A) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2025-10-13 |