| NPI | 1215348545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-144239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT206485) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2019-10-21 |