| NPI | 1760794762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01081039A) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01081039A) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2024-09-12 |