| NPI | 1487960019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 65365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036133160) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2021-03-26 |