| NPI | 1467985341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01081198A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102208602) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-08-13 |