| NPI | 1275988339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 62397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 28359) |
| 207Q00000X Family Medicine (Licence: WI 71633) | |
| 207R00000X Internal Medicine (Licence: AR E-14554) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-09-08 |