| NPI | 1932330818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301102361) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01073957A) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2016-12-14 |