| NPI | 1922145978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01064094A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11013346A) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-03-04 |