| NPI | 1871755090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01045378A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01045378) |
| 207Q00000X Family Medicine (Licence: CA A88150) | |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2023-03-02 |