| NPI | 1992716443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 071052) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01060358A) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-04-18 |