| NPI | 1922035823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 34713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01060756A) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-11-07 |