| NPI | 1073574299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.126137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 45615) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-09-29 |