| NPI | 1487854998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036142927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E8222) |
| 207Q00000X Family Medicine (Licence: MO 2009007656) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-07-21 |