| NPI | 1396732061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036109782) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 27379) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2023-03-09 |