| NPI | 1760830897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 63032) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-12604) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-05-13 |