| NPI | 1962547737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-47115) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003052A) |
| 207Q00000X Family Medicine (Licence: NC 2011-01-722) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-11-10 |