NPI | 1174011142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 02005981A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02005981A) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2023-10-11 |