NPI | 1407417306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02007922A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125079101) |
208000000X Pediatrics (Licence: NE 8579) | |
Enumeration Date | 2019-06-22 |
Last Update Date | 2025-02-25 |