| NPI | 1912931882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0024123859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71002141A) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-03-08 |