| NPI | 1043693831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101026039) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125066896) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-04-29 |