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 |