| NPI | 1952478166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 1695) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A164611) |
| 207Q00000X Family Medicine (Licence: IN 02003183A) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-07-21 |