| NPI | 1679736094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 47720) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01067420A) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-02-25 |