| NPI | 1720007412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01071980A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD153755) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-12-03 |