| NPI | 1063618445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01064404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11012345) |
| 207Q00000X Family Medicine (Licence: IN 01064404A) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2015-06-03 |