| NPI | 1366500381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.04768R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036038566) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-27 |