| NPI | 1780799387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-082477) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006661A) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-07-31 |