| NPI | 1235396201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014180A) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-01-15 |