| NPI | 1477815819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01073522A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11016764A) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2015-07-24 |