| NPI | 1134359961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-17137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036128807) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125055811) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-05-21 |