NPI | 1346735065 |
---|---|
Former Name | POOJA SHETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-157024) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125072847) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2021-06-25 |