| NPI | 1356301717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01055782A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 32798) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-12-09 |