| NPI | 1265817845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2022-0206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036144778) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2022-05-20 |