| NPI | 1588892509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.128971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71007396A) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-08-23 |