| NPI | 1518254010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.206906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125060532) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2021-12-17 |