| NPI | 1376123893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01093798A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL86415) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-07-30 |