| NPI | 1508030289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01070858A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01070858A) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2017-03-17 |