| NPI | 1083276638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101274695) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.073530) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-09-24 |