| NPI | 1396793600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 3966) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36107387) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-05-03 |