| NPI | 1053567040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067004A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125051108) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2023-04-14 |