| NPI | 1568724557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01075673A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301116457) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-10-18 |