NPI | 1780090233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01097078A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7337) |
207Q00000X Family Medicine (Licence: KY 51573) | |
Enumeration Date | 2014-07-05 |
Last Update Date | 2025-07-29 |