| NPI | 1396973095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301510783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036130780) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-01-04 |