| NPI | 1265708069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036137978) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125062272) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2019-12-26 |