| NPI | 1164787263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60409592) |
| 207Q00000X Family Medicine (Licence: WA OL60289654) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-03-01 |