| NPI | 1235245002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02002952A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 229933) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-07-05 |