| NPI | 1629273222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003352A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02003352B) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-09-14 |