| NPI | 1154649846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 250783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.124467) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2021-12-03 |