| NPI | 1215270111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME157471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036139803) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2022-10-28 |