| NPI | 1558366153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02002783A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 4135) |
| 207Q00000X Family Medicine (Licence: MO 2025023431) | |
| 207Q00000X Family Medicine (Licence: TN 6346) | |
| 207Q00000X Family Medicine (Licence: GA 104692) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2025-08-01 |