| NPI | 1992934178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076194A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 55445) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-08-12 |