| NPI | 1003175886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.142987) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q7596) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2023-02-27 |