| NPI | 1710572763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01088186A) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 01088186A) |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: IN 01088186A) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2023-08-03 |