| NPI | 1114456993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082735A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11019276A) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |