| NPI | 1235622580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02005771A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11020014A) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-08-13 |