| NPI | 1245545615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 02006524A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101018983) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: MI 5101018983) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2021-10-29 |