| NPI | 1255363172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01055036A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301079052) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-11-03 |