| NPI | 1952692816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.136725) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 99065608A) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2023-09-20 |