| NPI | 1235572991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67552-20) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WI 67552-20) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036139532) | |
| 207Q00000X Family Medicine (Licence: IL 036139532) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-09-21 |