| NPI | 1245295179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01045735A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 27273) |
| 207R00000X Internal Medicine (Licence: IN 01045735A) | |
| 208D00000X General Practice (Licence: KY 27273) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-10-26 |