| NPI | 1750602140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01092502A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 4257) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2024-05-20 |