| NPI | 1023633807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 11021130A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006675A) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-08-04 |