| NPI | 1750643573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004626A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT014726) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2017-12-01 |