| NPI | 1093038242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 47862) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-055810) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2022-10-06 |