| NPI | 1457485013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074116A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53311) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-07-01 |