| NPI | 1710972229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02002400A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 02002400A) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-01-14 |