| NPI | 1669852711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301509048) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01078959A) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-06-23 |