| NPI | 1073892428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 008-T1) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2021-05-27 |