| NPI | 1275755001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 15960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122160) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-06-10 |