| NPI | 1669931481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 09LIA92161) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01087618A) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-07-11 |