| NPI | 1891170718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01082880A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125067519) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2021-01-19 |