| NPI | 1225175607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0056063) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036116852) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-10-06 |