| NPI | 1649366360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01042254A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301082449) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-03-17 |