| NPI | 1669811873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074420A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01074420A) |
| 171000000X Military Health Care Provider (Licence: IN 01074420A) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2024-12-18 |