| NPI | 1164651758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003760A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101019506) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-03-30 |