| NPI | 1245599984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036141258) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB09667500) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2021-04-02 |