| NPI | 1720617616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-19040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 5164) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-03-17 |