NPI | 1043745581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 62563) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-10794) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2020-12-01 |