| NPI | 1093767253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01049289A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01049289A) |
| 207Q00000X Family Medicine (Licence: KY 33454) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-05-11 |