| NPI | 1316138290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067748A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL 30048) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2015-07-21 |