| NPI | 1477973311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01081950A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 55132) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2023-08-03 |