| NPI | 1275732091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-134430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN11161) |
| 207Q00000X Family Medicine (Licence: MO 2010020916) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-08-03 |