| NPI | 1699743690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003847A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 889) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-03-06 |