| NPI | 1548470131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01066620A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L2758) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-12-03 |