| NPI | 1972890481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01073032A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R2501) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-11-07 |