| NPI | 1497754436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD050886L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036088153) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-01-24 |