| NPI | 1598106585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01077481A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125064094) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-11-01 |