| NPI | 1952482044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301058002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01073328A) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-02-07 |