| NPI | 1275817512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004277a) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS16087) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-02-23 |