| NPI | 1043586035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036149122) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 61748-20) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2021-12-06 |