| NPI | 1407205958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01083448A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018854A) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-09-02 |