| NPI | 1578829594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 56795) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 010730008A) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-02-10 |