| NPI | 1982041745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-151295) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01076694A) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-09-05 |