| NPI | 1174809586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125078663) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND LT23248) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2025-11-25 |