| NPI | 1467470112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-076680) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01078336A) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-01-07 |