| NPI | 1114412020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01086431A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-072921) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-09-20 |