| NPI | 1093761660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076588A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 074996) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-04-28 |