| NPI | 1235572124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074340A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017416A) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-03-01 |