| NPI | 1710479761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01084278A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11019961A) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-07-30 |