| NPI | 1689193211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006536A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 71359-21) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-11-13 |