| NPI | 1518253848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-14306) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072536A) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2018-08-15 |