| NPI | 1689150724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP11313) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ AP11313) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ AP11313) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-01-10 |