| NPI | 1043834427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01091675A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2020014716) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-10-01 |