| NPI | 1902836984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01068785A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M8681) |
| 207Q00000X Family Medicine (Licence: WA MD00043551) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-09-18 |