| NPI | 1114111879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 70004) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072708A) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2025-06-19 |