| NPI | 1508964727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02001923A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60807475) |
| 207Q00000X Family Medicine (Licence: OR DO23571) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-03-04 |