| NPI | 1669737664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.062389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01079189A) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-03-20 |