| NPI | 1851580823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074304A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM MD2008-0602) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2015-05-21 |