| NPI | 1922442458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME168015) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 89609) |
| 207Q00000X Family Medicine (Licence: IN 01076704A) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2024-11-15 |