| NPI | 1356566350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-117393) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-03-29 |