| NPI | 1215258538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-40789) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036142991) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2022-08-29 |