| NPI | 1023264819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125.052953) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0026788) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2024-09-17 |