| NPI | 1306151675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 60498) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036134343) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-09-29 |