| NPI | 1942576871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01080078A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 48303) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2020-07-09 |