| NPI | 1174505325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.159710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME88708) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-10-29 |