| NPI | 1073894283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.153388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074324A) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2025-06-11 |