| NPI | 1942481437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS T-2021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 20499) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2011-03-31 |