| NPI | 1558593137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036129642) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 27110) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2021-12-16 |