| NPI | 1063445559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 36-092047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02007451A) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-09-28 |