| NPI | 1932164621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 100422-875) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01048925) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-04-17 |