| NPI | 1275777062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101249710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036130947) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2020-07-24 |