| NPI | 1922529254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125071393) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01083939A) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-09-28 |