NPI | 1972252567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01092610A) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2022-03-21 |
Last Update Date | 2025-03-05 |