| NPI | 1386746311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61469999) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112620) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-01-14 |