| NPI | 1497404156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02009244A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP70001950) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-09-04 |