| NPI | 1033315403 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067530A)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A126069)  | 
| 207R00000X Internal Medicine (Licence: IN 01067530A)  | |
| 207R00000X Internal Medicine (Licence: NV 14046)  | |
| 207R00000X Internal Medicine (Licence: CA A126069)  | |
| 207Q00000X Family Medicine (Licence: NV 14046)  | |
| Enumeration Date | 2007-06-22 | 
| Last Update Date | 2021-12-15 |