| NPI | 1669979456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01083098A) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2021-08-10 |