| NPI | 1508291709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004515a) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KS 02004515A) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2022-03-15 |