| NPI | 1235267782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01050345A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 21184) |
| 207Q00000X Family Medicine (Licence: VA 0101238093) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |