| NPI | 1659662203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01074309A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074309A) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2020-11-30 |