| NPI | 1033571591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0066365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.147459) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-04-07 |