| NPI | 1639528813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01085885A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 65176) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-01-03 |