| NPI | 1134357023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036148602) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01071463) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-10-11 |