| NPI | 1629085816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01047569) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036100077) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-06-11 |