| NPI | 1265846810 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01078730A)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11017605A)  | 
| Enumeration Date | 2014-06-11 | 
| Last Update Date | 2023-05-25 |