| NPI | 1417266560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01072148A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125058649) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2015-09-18 |