| NPI | 1770956252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NH 39639) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02005009A) |
| 207Q00000X Family Medicine (Licence: NH 39639) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2026-06-04 |