| NPI | 1821655663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01088219A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.158389) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2022-08-16 |