| NPI | 1649652280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 56136) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018086A) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2020-09-16 |