| NPI | 1265896922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 20344) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036149836) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-02-27 |