| NPI | 1518525708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01090915a) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 91695) |
| 207Q00000X Family Medicine (Licence: PA MT217558) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-10-10 |