| NPI | 1962401091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01054944A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301116513) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2024-01-29 |