| NPI | 1558742536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01078916A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018483A) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-03-04 |