| NPI | 1720165814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01053370A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01053370) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-09-11 |