| NPI | 1043326192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 74097) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036105255) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-11-15 |