| NPI | 1003075318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-133091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53824) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2021-02-19 |