| NPI | 1396906749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125051266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 57640) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-12-18 |