| NPI | 1194254243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036161624) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02005929A) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2023-05-08 |