| NPI | 1366463390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME109779) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036094165) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2022-09-28 |