| NPI | 1912971029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01071400A) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID M9109) |
| 207Q00000X Family Medicine (Licence: WA MD00046851) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-02-26 |