| NPI | 1477113926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.074120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02007118A) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-04-16 |