| NPI | 1720616105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01091122A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T9235) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-08-19 |