| NPI | 1447546031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074499A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116023669) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-12-14 |