| NPI | 1154856151 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005573A) | 
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 02005573A) | 
| Enumeration Date | 2017-04-27 | 
| Last Update Date | 2023-11-27 |