| NPI | 1194346726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508286) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01090626A) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-08-06 |