| NPI | 1982647434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 002001493) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02001493) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-17 |