| NPI | 1376919605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006411A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10053717) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2023-07-12 |