| NPI | 1457083545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01096526A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.080918) |
| 208D00000X General Practice (Licence: IN 01096526A) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-08-22 |