| NPI | 1063529196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 4612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-107044) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: AZ 4612) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-03-18 |