NPI | 1750671137 |
---|---|
Former Name | SAIVEENA BOGALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T5650) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01082375A) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2024-05-16 |