| NPI | 1487810107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01065726A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11012672A) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2014-12-31 |