| NPI | 1104879477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02201263A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036085404) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-04-08 |