| NPI | 1225694102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02007766A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101025847) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-09-03 |