| NPI | 1346266897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01064386A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME71593) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-01-24 |