| NPI | 1881189512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006558A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101023795) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-10-26 |