| NPI | 1952622409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME128492) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: IN 01071899A) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-11-21 |