| NPI | 1326020041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2005022502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036108858) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-05-16 |