| NPI | 1013275767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036157739) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD24953) |
| 207Q00000X Family Medicine (Licence: IN 010845521A) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2022-08-02 |