| NPI | 1245344357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 036131078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036131078) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-01-16 |