NPI | 1265962633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 02006037A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006037A) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2021-06-25 |