| NPI | 1841604618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082481A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301104893) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-11-04 |