| NPI | 1083775480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-113674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC DO034214) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-04-26 |