| NPI | 1710407275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO198748) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11019602A) |
| 207Q00000X Family Medicine (Licence: IN 02005458A) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-09-11 |