| NPI | 1326451824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01084974A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2017-0831) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-12-07 |