| NPI | 1437152394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01069750A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301082974) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01069750A) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-08-27 |