| NPI | 1861515447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004498A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016610) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-08-29 |