| NPI | 1750623583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01075675A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01075675A) |
| 207Q00000X Family Medicine (Licence: IN 11017321A) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IN 11017321A) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-06-26 |