| NPI | 1467899963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60874729) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036138824) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2021-06-23 |